کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3385864 1220628 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Coma resulting from a grade IV anaphylactic reaction to atracurium
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ایمونولوژی، آلرژی و روماتولوژی
پیش نمایش صفحه اول مقاله
Coma resulting from a grade IV anaphylactic reaction to atracurium
چکیده انگلیسی

We report a grade IV anaphylactic reaction to atracurium. A 51-year-old woman was scheduled for an elective laparoscopic fibroidectomy. Her past medical history was negative for allergies, previous anaphylactic or anaphylactoid reactions, and acute or chronic diseases and she had no current symptoms. Atracurium injection evoked an immediate respiratory arrest and neck edema, hindering intubation. An emergency tracheotomy was performed, resulting in significant hemorrhage, shock and hypoxic coma. The diagnosis of anaphylaxis to atracurium was confirmed by an allergy investigation. This case report stresses the fact that acutely severe anaphylactic reactions can occur without typical skin or cardiac symptoms. Furthermore, low risk patients with a bland medical history are never exempt from the risk of anaphylactic shock, even with a designated low-risk agent of sensitization.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Revue Française d'Allergologie - Volume 55, Issue 2, April 2015, Pages 64–67
نویسندگان
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